CH. 19 HIP AND PELVIS INJURIES

Bursitis

• Most common is greater trochanteric bursitis

• Caused by lack of stretching and improper warm up

• Treatment: limit activity, stretch, ice, NSAIDs

Fractures

• MOI: falling (most common), car accidents

• Mostly in elderly• Use x-ray or MRI to diagnosis

• Surgery to fix with pins• NWB • Mortality rate is high in elderly

Quad and Hip Flexor Strain

• Usually involves rectus femoris

• MOI: jumping, kicking, sprinting

• Treatment: ice, compression, NSAIDs

• Rehab: ROM, strengthening, jogging

Hamstring Strain

• Most commonly injured is long head of biceps femoris

• Hamstring strain: mild or moderate damage

• Hamstring tear: muscle separating from tendon

Hamstring Strain

• MOI: explosive starts/stops, sprinting, overuse, quad/ham imbalance, tightness

• S/S: sharp pain, bruising, swelling, ‘pop’

• Treatment: RICE, NSAIDs, massage

• Rehab: stretch, strengthen, balance of strength

Adductor (Groin) Strain

• Common in sports requiring quick changes in direction• Soccer• Tennis

• Most commonly involves adductor longus

• Treat same as hamstring

Iliac Crest Contusion

• Hip pointer• Caused by falling or blow to hip

• S/S: tenderness, swelling, bruising, loss of ROM

• Treat with ice and compression

• Protect with pad

Hip Dislocation

• Most are posteriorly• Severe damage can occur to nerve and blood supply

• Extreme pain, leg internally rotated

• Long rehab including gait training

Hip Dysplasia

• Usually affects babies and dogs

• Head of the femur does not fit into the acetabulum

• Diagnosis with x-ray or MRI

• Non-surgical straps in babies

Legg-Calve-Perthes

• Disruption of blood flow to the head of the femur causing it to die

• Most common in young males• Around 7 years old

Rehab

• Strengthening• Straight Leg Raises• Stool scoots• Theraband

• Balance• Foam pad• Pro Fitter• Slide board